Personal Training Consultation Questionnaire

Full Name

First NameLast Name

Gender

Date of Birth

MonthDayYear

Age

years

Height

cm

Weight

KG

Are you interested in Online Coaching or In Person Coaching?

Email

Phone number

What do you do for a living?

Whats the activity level at your job?

Do you follow a regular working schedule, do you work days, afternoon or nights?

Have you ever trained with a Personal Trainer before?

Are you currently excersising regularly (at least 3x per week)?

If yes, what kind of training/exercise are you currently doing? (Mainly cardio, weight training, sports activities etc?)

What is your reason for training with me and your goals?

What following goals does best fit in with your goals?

At what times during the day would you prefer to train?

Any days you would like to train?

Your current diet could be best characterized as:

If you have any diagnosed health problems list the condition(s).

If you are on any medications, please list them.

If you have any injuries, please list them.

Are you experiencing any stresses or motivational problems?

Do you suffer from diabetes, asthma, high or low blood pressure?

Please list:

Are you a current cigarette smoker?

Please rate your readiness for change.

Timeline for achieving your goals.

How many PT sessions a week would you like?

1.) CANCELLATIONS

Cancellations should be made at least 24 hours in advance of a scheduled session. Sessions cancelled less than 24 hours in advance will be charged in full to the client.

2.) LATE ARRIVALS

Each session shall be 1 hour in length. Sessions will not be extended (unless time is available) due to the lateness of the client or due to interruptions caused by the client.

3.) ALL THE INFORMATION I HAVE GIVEN IS CORRECT

All the information on this form is correct and to the best of my knowledge. I have sought and followed any necessary medical advice. I understand that all the information given will be kept confidential.

I AGREE TO THE ABOVE TERMS & CONDITIONS!

Personal Training Client Consultation Form 💪🏼🏋🏼‍♀️